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CCI Modifiers: July 1 Update to Modifier 59 Rule Is Now in Force … and More

16. July 2019

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Modifiers are the key to overriding Correct Coding Initiative (CCI) edits, so let’s give them the attention they deserve. We’ll start with a recent rule update and move on to helpful hints about CCI-associated modifiers in general. Which CCI edits? Our focus here will be Medicare CCI Procedure-to-Procedure (PTP) edits for physicians and practitioners. Do […]

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Part 3: Cross the ICD-10-CM 2020 Update Finish Line With Chapters 18-21

10. July 2019

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Feeling energized for the last post in our ICD-10-CM 2020 update blog marathon? Today we’ll wrap up our overview of the main changes in each chapter of the diagnosis code set by covering symptoms, fractures, and more. Read Part 1 for news about Chapters 1-10 and Part 2 for Chapters 11-17. Chapter 18: Pick Up […]

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Part 2: Tackle ICD-10-CM 2020 Updates for Chapters 11-17

8. July 2019

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You know the highlights of ICD-10-CM 2020 updates for Chapters 1-10 from our last blog post. Now let’s dig in to some of the big points from Chapters 11-17. We’ll wrap up with Chapters 18-21 in Part 3. Remember: These updates are effective Oct. 1, 2019. Be sure your ICD-10-CM resource has the latest codes […]

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Part 1: What’s New in ICD-10-CM 2020, Chapters 1-10?

3. July 2019

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ICD-10-CM 2020 is out now so you can prepare to start using the new code set Oct. 1, 2019. The Tabular List addenda PDF is 36 pages long to fit in 273 new reportable codes along with new subcategories, deletions, revisions, and some very important instruction changes. We’ll cover major points from each ICD-10-CM chapter, […]

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No More 99201? What’s Coming in 2021 for E/M

4. April 2019

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There’s been a lot of buzz about what Medicare has planned for E/M in 2021. One question all that raises is how it will mesh with AMA CPT® coding rules. Here are some hints from the February 2019 CPT® Editorial Summary of Panel Actions about what is in store for the code descriptors and guidelines. […]

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Watch April MPFS Update for NGACO Code Changes With a January Twist

18. March 2019

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Ready for some retroactive MPFS changes? The next Medicare Physician Fee Schedule update may have an April 1, 2019, implementation date, but the effective date is Jan. 1, 2019. The theme for the HCPCS codes involved is Next Generation Accountable Care Organization (NGACO) Model Post Discharge Home Visits. Remember: “MACs will not search their files […]

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6 Ways to Put Medical Office Biller to Work for You

11. March 2019

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Sifting through all the options for online coding and billing software can be a slog, so we put together an at-a-glance breakdown of the top points you need to know for Medical Office Biller! You may have expected MPFS tools, but did you know you get coding Survival Guides and a monthly practice management newsletter […]

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Look Ahead to These 3 Trends for April 2019 CCI Updates

4. March 2019

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Think Medicare’s April CCI updates are small potatoes? You may reevaluate that stance when you learn there are more than 11,000 additions planned for April 1, 2019. To help make it manageable, watch the three areas below. Our focus: The topic here is Medicare practitioner procedure-to-procedure (PTP) Correct Coding Initiative (CCI) edits that will be […]

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Primary Care and Specialists Need to Know These Twin Add-On Codes by 2021

28. January 2019

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The 2019 MPFS proposed rule discussed potential add-on G codes to represent E/M visit complexity. Here’s a quick look at the intent of the proposed codes and what the final rule had to say about their implementation in 2021. See What Happens to This Code for Specialists In the 2019 Medicare Physician Fee Schedule (MPFS) […]

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Outpatient Coders: Are These C Codes on Your Procedure Reporting List?

22. January 2019

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The HCPCS 2019 code set features several new C codes related to reporting procedures. If you use C codes, make sure you’ve got these updates on your radar. Reminder: HCPCS C codes are intended for use by Outpatient Prospective Payment System (OPPS) hospitals. The codes are used to report device categories, new technology procedures, and […]

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